FORM 1023-EZ for 658 MAIN STREET FOUNDATION INC

Field Data
EIN 83-1447927
Case Number EO-2018263-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 658 MAIN STREET FOUNDATION INC
Organization’s Mailing Address 1205 CENTRAL STREET
City LEOMINSTER
State MA
ZIP 1453
Accounting period End 6
Primary contact name MARK S MUELLER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SOPHIA BOGDASARIAN
PRESIDENT
100 FLAT ROCK ROAD
FITCHBURG MA 1420

Officer/Director/Trustee Two

MARK MUELLER
TREASURER
128 DALE AVENUE
LEOMINSTER MA 1453

Officer/Director/Trustee Three

SOPHIA BOGDASARIAN
CLERK
100 FLAT ROCK ROAD
FITCHBURG MA 1420

Officer/Director/Trustee Four

KIMBERLY ANSIN
DIRECTOR
64 GIBSON ROAD
ASHBURNHAM MA 1430

Officer/Director/Trustee Five

ANDREW COLAMETA
DIRECTOR
134 HEYWOOD ROAD
STERLING MA 1564

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK MUELLER
Signature Title TREASURER
Signature Date 9/18/18

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